The highest risk of recurrence of breech delivery was seen in babies of firstborn men and women who themselves were delivered in breech position at term, with an odds ratio of 2.
Men delivered in breech presentation seem to carry genes predisposing to breech delivery that are transferred to their offspring, increasing their partners' risk of breech deliveries.
This is of serious concern, considering the possibility of legal claims where the conduct of breech delivery is raised as a possible cause of neurological damage to a child.
5 (4-10) Clinician decision for breech delivery on admission, n (%) None: breech presentation not detected 26 (28.
Separate data from UCSF which has used a consistent approach to managing breech deliveries for many years, suggest that appropriate criteria for selecting patients for vaginal breech delivery plus adequate monitoring make this a viable option in many cases, said Dr.
Appropriate resources [such as continuous fetal heart rate monitoring] are needed if you're going to offer vaginal breech delivery," Dr.
Quilligan noted that breech delivery of the second twin is achievable.
This is the one place where we can still have breech delivery," he commented.
Women with singleton pregnancies, however, should still be counseled that the risk of perinatal death is four times greater and perinatal morbidity is three times greater with vaginal breech delivery than cesarean section.
Today, a highly motivated woman seeking vaginal breech delivery
may with difficulty be able to find an obstetrician experienced in the procedure and willing to take on the medicolegal risk.
Other clinicians who are experienced with vaginal breech delivery have continued to recommend planned vaginal birth for selected women, with the view that vaginal birth would be associated with lower morbidity for the mother, would require fewer health care resources, and would be less costly," they noted.
Even though the study was confined to medical centers where clinicians were experienced in vaginal breech delivery, the fetuses in the vaginal delivery group were three times more likely to die or to have poor outcomes than those in the cesarean group.